CARE Court

A program that helps connect people who are experiencing serious, untreated mental illness to essential care.

What is CARE Court?

Community Assistance, Recovery, and Empowerment Court also known as CARE Court is a new program that was developed through legislation (SB 1338) to help people who have a diagnosis in the schizophrenia spectrum or other psychotic disorder diagnosis receive care through county behavioral health services. 

CARE Court is a civil court process that begins when a person files a petition to request the court to order behavioral health care for someone who is:  

  • 18 years or older 
  • Experiencing untreated and serious mental illness and has a diagnosis in the schizophrenia spectrum or other psychotic disorder diagnosis 
  • Not clinically stabilized in ongoing voluntary treatment
  • The person is unlikely to survive safely in the community without supervision and the person's condition is substantially deteriorating
  • The person needs services and support to prevent a relapse or deterioration that would likely result in grave disability or serious harm to the person or others
  • CARE Court would be the least restrictive alternative to ensure the person’s recovery and stability  
  • The person will likely benefit from participation in CARE Court 

Who is eligible for CARE Court?

A person who:  

  • Is 18 years or older 
  • Experiencing untreated and serious mental illness and has a diagnosis in the schizophrenia spectrum or other psychotic disorder diagnosis 
  • The person has not been able to stabilize in voluntary treatment. 
  • CARE Court would be the least restrictive alternative to ensure the person’s recovery and stability
  • The person will likely benefit from participation in CARE Court; and

Meets one of the following:  

  • The person is unlikely to survive safely in the community without supervision and the person’s condition is substantially deteriorating 
  • The person needs services and support to prevent a relapse or deterioration that would likely result in grave disability or serious harm to the person or others 

Who can submit a referral for CARE Court?

Various groups can file petitions, including: 

  • County behavioral health agencies 
  • Family members 
  • First responders 
  • Public guardians or conservators 
  • Hospital directors 
  • Behavioral health providers 
  • Roommates/housemates 

Find information on filing a petition. 

How can I refer someone to CARE Court?

Contact DPH if you have questions about a person’s eligibility for CARE Court: 

DPH CARE Court Team 
carecourtconsultation@sfdph.org 
628-217-5171 

Find the petition form on the San Francisco Superior Court website: https://sf.courts.ca.gov/divisions/civil-division/care-act-court 

Resources

If you know someone who is experiencing a behavioral health crisis, call 911 or connect with the following services:  

  • Psychiatric Emergency Services (PES) San Francisco General Hospital  
    1001 Potrero Avenue  
    628-206-8125  
    24/7  
  • Comprehensive Crisis Services  
    415-970-3800  
    24/7 

If a person does not require emergency services but needs urgent support, contact these services:  

  • Westside Crisis  
    415-355-0311  
    245 11th Street  
    8:00am - 3:30pm Monday- Friday  
  • Dore Urgent Care  
    52 Dore Street  
    415-553-3100  
    24/ 7  

If a person is not in crisis but needs support connecting to voluntary services:  

Contact the Behavioral Health Access Center or Treatment Access Program to determine eligibility and appropriateness for different treatment options.  

  • Behavioral Health Access Center (BHAC)  
    1380 Howard Street 
    8:00am – 7:00 pm Monday – Friday 
    9:00am – 4:00 pm Saturday & Sunday  

24-hour access line for support navigating mental health and substance use care 

  • 888-246-3333 
Last updated December 16, 2024